Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.88 / $1,419.70 / $14,482.00	Facility		$704.88	$1,419.70	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,532.89 / $13,630.00	Facility		$5,169.00	$7,532.89	$13,630.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,801.34 / $2,105.01 / $3,395.30	Facility		$1,801.34	$2,105.01	$3,395.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $704.88 / $939.08 / $3,105.74	Facility		$704.88	$939.08	$3,105.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $704.88 / $3,105.74 / $8,384.00	Facility		$704.88	$3,105.74	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $704.88 / $1,018.18 / $3,105.74	Facility		$704.88	$1,018.18	$3,105.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,358.50 / $2,090.00 / $2,641.58	Professional		$1,358.50	$2,090.00	$2,641.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,700.73 / $5,700.73 / $5,700.73	Facility		$5,700.73	$5,700.73	$5,700.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00